A 24-year-old with early pregnancy loss at 9 weeks prefers medical management. Which regimen is recommended?...

Question

A 24-year-old with early pregnancy loss at 9 weeks prefers medical management. Which regimen is recommended?

Accepted Answer

Mifepristone 200 mg PO then misoprostol 800 mcg vaginal 24 hours later (or misoprostol 800 mcg vaginal once if mifepristone unavailable)

Answer

Methylergometrine 0.2 mg IM x1

Answer

Misoprostol 200 mcg PO once

Answer

Expectant only; medications are contraindicated

Answer

Oxytocin 10 units IV bolus

"us-usmle-step-2 MCQ (SBA): Early Pregnancy Loss